Organization
MANOR CARE OF MIDWEST CITY OK LLC
Active
Other names
ManorCare Health Services - Midwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
2900 PARKLAWN DR, MIDWEST CITY, OK 73110-4204
(405) 737-6601
(405) 737-4984
Mailing address
333 N SUMMIT ST, ATTN BARRY A LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 254-5494
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH55125512
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268710A
—
OK
Enumeration date
08/17/2009
Last updated
12/22/2009
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